EP3829457A4 - Fixation de vaisseaux pour la création d'une fistule percutanée - Google Patents

Fixation de vaisseaux pour la création d'une fistule percutanée Download PDF

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Publication number
EP3829457A4
EP3829457A4 EP19845434.0A EP19845434A EP3829457A4 EP 3829457 A4 EP3829457 A4 EP 3829457A4 EP 19845434 A EP19845434 A EP 19845434A EP 3829457 A4 EP3829457 A4 EP 3829457A4
Authority
EP
European Patent Office
Prior art keywords
vessels
creation
fixation
fistula
percutaneous
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
EP19845434.0A
Other languages
German (de)
English (en)
Other versions
EP3829457A1 (fr
EP3829457B1 (fr
Inventor
Mark A. Ritchart
Brad M. Kellerman
Justin K. Mann
Gene B. REU
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Avenu Medical Inc
Original Assignee
Avenu Medical Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Avenu Medical Inc filed Critical Avenu Medical Inc
Publication of EP3829457A1 publication Critical patent/EP3829457A1/fr
Publication of EP3829457A4 publication Critical patent/EP3829457A4/fr
Application granted granted Critical
Publication of EP3829457B1 publication Critical patent/EP3829457B1/fr
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/122Clamps or clips, e.g. for the umbilical cord
    • A61B17/1227Spring clips
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/11Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/12Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12099Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
    • A61B17/12109Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder in a blood vessel
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/04Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/062Needle manipulators
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/08Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by means of electrically-heated probes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/00234Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00292Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003Steerable
    • A61B2017/00318Steering mechanisms
    • A61B2017/00323Cables or rods
    • A61B2017/00327Cables or rods with actuating members moving in opposite directions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/0057Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00575Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
    • A61B2017/00584Clips
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/0057Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00641Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closing fistulae, e.g. anorectal fistulae
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/0057Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00646Type of implements
    • A61B2017/00663Type of implements the implement being a suture
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00831Material properties
    • A61B2017/00867Material properties shape memory effect
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/04Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B2017/06052Needle-suture combinations in which a suture is extending inside a hollow tubular needle, e.g. over the entire length of the needle
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/04Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066Needles, e.g. needle tip configurations
    • A61B2017/0608J-shaped
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/04Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066Needles, e.g. needle tip configurations
    • A61B2017/06095Needles, e.g. needle tip configurations pliable
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/11Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
    • A61B2017/1103Approximator
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/11Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
    • A61B2017/1107Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis for blood vessels
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/11Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
    • A61B2017/1125Forceps, specially adapted for performing or assisting anastomosis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/11Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
    • A61B2017/1139Side-to-side connections, e.g. shunt or X-connections
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577Ablation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/0063Sealing
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3966Radiopaque markers visible in an X-ray image

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Vascular Medicine (AREA)
  • Reproductive Health (AREA)
  • Surgical Instruments (AREA)
EP19845434.0A 2018-08-03 2019-08-02 Système de fixation de vaisseaux pour la création de fistules percutanées Active EP3829457B1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US201862714558P 2018-08-03 2018-08-03
PCT/US2019/044968 WO2020028848A1 (fr) 2018-08-03 2019-08-02 Fixation de vaisseaux pour la création d'une fistule percutanée

Publications (3)

Publication Number Publication Date
EP3829457A1 EP3829457A1 (fr) 2021-06-09
EP3829457A4 true EP3829457A4 (fr) 2022-04-20
EP3829457B1 EP3829457B1 (fr) 2026-01-14

Family

ID=69228077

Family Applications (1)

Application Number Title Priority Date Filing Date
EP19845434.0A Active EP3829457B1 (fr) 2018-08-03 2019-08-02 Système de fixation de vaisseaux pour la création de fistules percutanées

Country Status (5)

Country Link
US (1) US11083460B2 (fr)
EP (1) EP3829457B1 (fr)
JP (1) JP2021532917A (fr)
CN (1) CN112543619B (fr)
WO (1) WO2020028848A1 (fr)

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
USD989307S1 (en) * 2021-03-23 2023-06-13 Edgewell Personal Care Brands, Llc Plunger for a feminine hygiene product

Citations (3)

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US20110306959A1 (en) * 2010-06-15 2011-12-15 Baja Research, Llc. Intravascular arterial to venous anastomosis and tissue welding catheter
US20150196705A1 (en) * 2012-09-28 2015-07-16 Rox Medical, Inc. Methods, systems and devices for treating hypertension
US20180206845A1 (en) * 2005-06-30 2018-07-26 Rox Medical, Inc. Devices, systems and methods for creation of a peripherally located fistula

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US5336231A (en) * 1992-05-01 1994-08-09 Adair Edwin Lloyd Parallel channel fixation, repair and ligation suture device
JP2750569B2 (ja) 1995-12-07 1998-05-13 幸夫 堀口 血管内装着型血流調節器及びバイパス用人工血管
AU2628801A (en) * 2000-01-04 2001-07-16 Transvascular, Inc. Apparatus for creating a channel between adjacent body lumens
US6464665B1 (en) 2000-07-05 2002-10-15 Richard R. Heuser Catheter apparatus and method for arterializing a vein
US6638257B2 (en) 2002-03-01 2003-10-28 Aga Medical Corporation Intravascular flow restrictor
US20030229363A1 (en) * 2002-06-05 2003-12-11 Sharkawy A. Adam Methods and devices for facilitating the formation of connections between tissue structures
US8062321B2 (en) 2006-01-25 2011-11-22 Pq Bypass, Inc. Catheter system for connecting adjacent blood vessels
US20070203515A1 (en) 2006-01-25 2007-08-30 Heuser Richard R Catheter system for connecting adjacent blood vessels
US20080051626A1 (en) 2006-08-28 2008-02-28 Olympus Medical Systems Corp. Fistulectomy method between first duct and second duct, ultrasonic endoscope, catheter with balloon, magnet retaining device, and magnet set
US20100022940A1 (en) * 2008-07-25 2010-01-28 Medtronic Vascular, Inc. Percutaneously Introduceable Shunt Devices and Methods
EP2496148B1 (fr) * 2009-11-03 2013-11-20 Cook Medical Technologies LLC Clamps plans pour anastomose
JP5864064B2 (ja) 2010-06-15 2016-02-17 アベヌ メディカル インコーポレイテッドAvenu Medical,Inc. 動静脈(av)フィステルを作るためのシステムおよび方法
US20130274648A1 (en) 2010-07-26 2013-10-17 The Trustees Of Columbia University In The City Of New York Blood flow controllers and methods
US9463269B2 (en) * 2010-09-10 2016-10-11 W. L. Gore & Associates, Inc. Anastomotic devices and methods
CA2817552C (fr) 2010-11-16 2020-03-24 Tva Medical, Inc. Dispositifs et procedes de formation d'une fistule
US9301830B2 (en) 2011-03-17 2016-04-05 Pq Bypass, Inc. Differential dilation stent and method of use
US9138230B1 (en) 2011-04-29 2015-09-22 Avenu Medical, Inc. Systems and methods for creating arteriovenous (AV) fistulas
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US10070866B1 (en) 2013-08-01 2018-09-11 Avenu Medical, Inc. Percutaneous arterial to venous anastomosis clip application catheter system and methods
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US20180206845A1 (en) * 2005-06-30 2018-07-26 Rox Medical, Inc. Devices, systems and methods for creation of a peripherally located fistula
US20110306959A1 (en) * 2010-06-15 2011-12-15 Baja Research, Llc. Intravascular arterial to venous anastomosis and tissue welding catheter
US20150196705A1 (en) * 2012-09-28 2015-07-16 Rox Medical, Inc. Methods, systems and devices for treating hypertension

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Title
See also references of WO2020028848A1 *

Also Published As

Publication number Publication date
JP2021532917A (ja) 2021-12-02
EP3829457A1 (fr) 2021-06-09
CN112543619A (zh) 2021-03-23
EP3829457B1 (fr) 2026-01-14
US11083460B2 (en) 2021-08-10
CN112543619B (zh) 2024-12-17
US20200038026A1 (en) 2020-02-06
WO2020028848A1 (fr) 2020-02-06

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